Director, Contract Strategy – Provider Engagement

This is a fully remote position, open to applicants in Idaho.

📋 Description

• Provide strategic oversight for pharmacy participation agreements, network addenda, and contract standards, ensuring alignment with enterprise pricing, quality, and access strategies.

• Create and maintain contracting playbooks, standards, and governance frameworks to guide negotiations, amendments, and operational applications.

• Collaborate with Legal, Compliance, and Network Pricing leadership to ensure that contract structures comply with regulatory standards and enterprise goals.

• Assist in strategic contract amendments, renewals, and enhancements, prioritizing intent, scalability, and long-term impact over transactional execution.

• Act as a senior point of contact for pharmacy providers, chains, and affiliations regarding contract-related inquiries.

• Foster productive, professional relationships with providers to encourage alignment, transparency, and prevent issues.

• Lead discussions with providers concerning contract interpretation, structural modifications, and strategic alignment, escalating only significant or systemic issues.

• Collaborate with Provider Services and Network Leadership to ensure consistent messaging and engagement models for providers.

• Provide strategic insight on contract interpretation to support pricing strategies, claims configurations, and network governance.

• Serve as an escalation point for complex, high-risk, or systemic contract issues, ensuring routine transaction-level matters are managed operationally.

• Analyze trends in provider inquiries or disputes to pinpoint opportunities for structural contract or process improvements.

• Suggest modifications to contract language, governance, or systems to minimize recurring operational challenges.

• Assist Sales and Client Services by offering strategic clarity on contract constructs and network positioning.

• Engage in company initiatives related to network strategy, growth, and regulatory preparedness.

• Provide leadership and direction to contract strategy, governance, or senior contract staff, as needed.

• Set expectations for quality, consistency, documentation, and escalation practices.

• Other duties as assigned.

⛳️ Requirements

• Bachelor's degree in Business, Finance, Economics, Healthcare Administration, or a related field, or equivalent work experience, is required.

• 7+ years of progressive experience in PBM, healthcare plans, pharmacy networks, or equivalent required.

• Proven experience in provider contracting, contract strategy, or network governance is essential.

• Strong understanding of pharmacy reimbursement and claims adjudication concepts is required.

• 3+ years of leadership experience with a demonstrated ability to cultivate high-performing teams and deliver measurable results in a professional services setting is needed.

• Engage in, adhere to, and support compliance program objectives.

• Ability to consistently interact cooperatively and respectfully with colleagues.

🏝️ Benefits

• Top-tier benefits for Health, Dental, and Vision insurance

• 20 days of paid time off

• 4 weeks of paid parental leave

• 9 paid holidays

• 401K company match of up to 5% - No vesting requirement

• Adoption Assistance Program

• Flexible Spending Account

• Educational Assistance Plan and Professional Membership support

• Referral Bonus Program – up to $750!